Carolyn Lavonne Lewis
ExpiredIllinois license 049060099
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049060099
- Status
- Expired (Not Renewed)
- First issued
- August 17, 1973
- Expired
- January 1, 1997
- License holder
- Carolyn Lavonne Lewis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/17/1973
Contact
Collinsville, IL 62234
Madison County